<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">用户手机号</label>
            <div class="layui-input-block">
                <input type="text" name="member_phone" class="layui-input"  placeholder="请输入用户手机号" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">游戏名称</label>
            <div class="layui-input-block">
                <input type="text" name="game" class="layui-input"  placeholder="请输入游戏名称" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">服务器名称</label>
            <div class="layui-input-block">
                <input type="text" name="device" class="layui-input"  placeholder="请输入服务器名称" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">价格</label>
            <div class="layui-input-block">
                <input type="text" name="price" class="layui-input" lay-verify="required" placeholder="请输入价格" value="0.00">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">主号名称</label>
            <div class="layui-input-block">
                <input type="text" name="name" class="layui-input"  placeholder="请输入主号名称" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">主号性别</label>
            <div class="layui-input-block">
                <input type="text" name="sex" class="layui-input"  placeholder="请输入主号性别" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">主号等级</label>
            <div class="layui-input-block">
                <input type="text" name="level" class="layui-input"  placeholder="请输入主号等级" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">主号职业</label>
            <div class="layui-input-block">
                <input type="text" name="zhiye" class="layui-input"  placeholder="请输入主号职业" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">主号技能</label>
            <div class="layui-input-block">
                <input type="text" name="jineng" class="layui-input"  placeholder="请输入主号技能" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">主号装备</label>
            <div class="layui-input-block">
                <input type="text" name="zhuangbei" class="layui-input"  placeholder="请输入主号装备" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">声望</label>
            <div class="layui-input-block">
                <input type="text" name="shengwang" class="layui-input"  placeholder="请输入声望" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">充值封号</label>
            <div class="layui-input-block">
                <input type="text" name="czfh" class="layui-input"  placeholder="请输入充值封号" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">英雄名称</label>
            <div class="layui-input-block">
                <input type="text" name="person_name" class="layui-input"  placeholder="请输入英雄名称" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">英雄等级</label>
            <div class="layui-input-block">
                <input type="text" name="person_level" class="layui-input"  placeholder="请输入英雄等级" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">英雄职业</label>
            <div class="layui-input-block">
                <input type="text" name="person_zhiye" class="layui-input"  placeholder="请输入英雄职业" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">英雄技能</label>
            <div class="layui-input-block">
                <input type="text" name="person_jineng" class="layui-input"  placeholder="请输入英雄技能" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">英雄装备</label>
            <div class="layui-input-block">
                <input type="text" name="person_zhuangbei" class="layui-input"  placeholder="请输入英雄装备" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">是否绿通</label>
            <div class="layui-input-block">
                <input type="text" name="is_lv" class="layui-input"  placeholder="请输入是否绿通" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">是否至尊通行证</label>
            <div class="layui-input-block">
                <input type="text" name="is_tx" class="layui-input"  placeholder="请输入是否至尊通行证" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">描述</label>
            <div class="layui-input-block">
                <input type="text" name="desc" class="layui-input"  placeholder="请输入描述" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">人气</label>
            <div class="layui-input-block">
                <input type="text" name="hot" class="layui-input" lay-verify="required" placeholder="请输入人气" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">金令到期时间</label>
            <div class="layui-input-block">
                <input type="text" name="create_at" class="layui-input"  placeholder="请输入金令到期时间" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">提交手机号</label>
            <div class="layui-input-block">
                <input type="text" name="phone" class="layui-input"  placeholder="请输入提交手机号" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">提交微信号</label>
            <div class="layui-input-block">
                <input type="text" name="weixin" class="layui-input"  placeholder="请输入提交微信号" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">排序</label>
            <div class="layui-input-block">
                <input type="text" name="sort" class="layui-input"  placeholder="请输入排序" value="0">
            </div>
        </div>

        <div class="layui-form-item">
            <label class="layui-form-label">审核状态</label>
            <div class="layui-input-block">
                <select name="is_shenhe">
                    <option value="1" >待审核</option>
                    <option value="2" >已通过</option>
                    <option value="0" >已驳回</option>
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">审核的驳回原因</label>
            <div class="layui-input-block">
                <input type="text" name="shenhe_reason" class="layui-input"  placeholder="请输入审核的驳回原因" value="">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>